Lescure M, Lagorce P, Caussanel J P, Malbec M
Service de Cardiologie, Hôpital d'Auch.
Ann Cardiol Angeiol (Paris). 1993 Jan;42(1):25-7.
The authors report a case of a cerebral embolism, with a rapidly resolving course, during late fibrinolysis using tissue plasminogen activator in a patient with a posterolateral myocardial infarction. A review of the literature is used as basis for considering the effects of fibrinolytic treatment on left intraventricular thrombi during the acute phase of myocardial infarction. The risk of systemic embolism during such treatment is stressed.
作者报告了1例在后外侧心肌梗死患者中,使用组织型纤溶酶原激活剂进行晚期纤维蛋白溶解治疗期间发生脑栓塞且病程迅速缓解的病例。本文以文献综述为基础,探讨了纤维蛋白溶解治疗对心肌梗死急性期左心室内血栓的影响。强调了此类治疗期间发生全身栓塞的风险。